Molina Healthcare
Analyst, Configuration Information Management- Healthplan Ops (Remote in GA)
Molina Healthcare, Long Beach, California, us, 90899
Overview
Employer Industry: Healthcare Services
Why consider this job opportunity
Competitive salary with a comprehensive benefits package
Opportunity for career advancement and growth within the organization
Work in a dynamic environment with fluctuating volumes, enhancing skill development
Chance to make a significant impact on claims processing and data accuracy
Supportive and collaborative work culture
What to Expect (Job Responsibilities)
Implement and maintain critical information on claims databases accurately and timely
Synchronize data among operational and claims systems while applying relevant business rules
Validate data for adherence to business and system requirements related to contracting, benefits, and prior authorizations
Handle coding, updating, and maintaining benefit plans and provider contracts through the user interface
Research and resolve claim/encounter issues and update systems as necessary
What is Required (Qualifications)
Associate degree or equivalent combination of education and experience
2-5 years of relevant experience in claims or data management
Ability to analyze and interpret data for configuration changes
Proficiency in handling coding and maintaining various system tables
Strong organizational skills to prioritize work and meet deadlines
How to Stand Out (Preferred Qualifications)
Bachelor's degree or equivalent combination of education and experience
5-7 years of experience in a similar role
Familiarity with state and federal benefits and contracts
Previous experience in a healthcare-related setting
Strong problem-solving skills and attention to detail
#HealthcareServices #ClaimsManagement #DataAccuracy #CareerGrowth #CompetitiveBenefits
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
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Why consider this job opportunity
Competitive salary with a comprehensive benefits package
Opportunity for career advancement and growth within the organization
Work in a dynamic environment with fluctuating volumes, enhancing skill development
Chance to make a significant impact on claims processing and data accuracy
Supportive and collaborative work culture
What to Expect (Job Responsibilities)
Implement and maintain critical information on claims databases accurately and timely
Synchronize data among operational and claims systems while applying relevant business rules
Validate data for adherence to business and system requirements related to contracting, benefits, and prior authorizations
Handle coding, updating, and maintaining benefit plans and provider contracts through the user interface
Research and resolve claim/encounter issues and update systems as necessary
What is Required (Qualifications)
Associate degree or equivalent combination of education and experience
2-5 years of relevant experience in claims or data management
Ability to analyze and interpret data for configuration changes
Proficiency in handling coding and maintaining various system tables
Strong organizational skills to prioritize work and meet deadlines
How to Stand Out (Preferred Qualifications)
Bachelor's degree or equivalent combination of education and experience
5-7 years of experience in a similar role
Familiarity with state and federal benefits and contracts
Previous experience in a healthcare-related setting
Strong problem-solving skills and attention to detail
#HealthcareServices #ClaimsManagement #DataAccuracy #CareerGrowth #CompetitiveBenefits
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
#J-18808-Ljbffr